01D2124641 CLIA NUMBER - BIRMINGHAM INTERNAL MEDICINE ASSOCIATES LLC

Laboratory Demographics

CLIA Number: 01D2124641

Facility Name: BIRMINGHAM INTERNAL MEDICINE ASSOCIATES LLC

Facility Address:
480 WALKER DRIVE
SPRINGVILLE, AL
ZIP 35146
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Facility Phone Number: 205 467-6919

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1538810346

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	01D2124641
LAB Type	Physician Office
Facility Name	BIRMINGHAM INTERNAL MEDICINE ASSOCIATES LLC
Street	480 WALKER DRIVE
City	SPRINGVILLE
State	AL
ZIP	35146
Phone	205 467-6919
CertificateType	2
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024